Abstract:
PURPOSE:To report a novel transcardiac retrograde transvenous coil embolization of inadequately proximally occluded pulmonary arteriovenous malformation (AVM). METHODS:Pulmonary AVM in the right A4 segment in an 8-year-old boy with hereditary hemorrhagic telangiectasia was initially treated by proximal occlusion of the feeding artery with coils. 6 years later, recurrent AVM caused dyspnea on exertion. The A4 AVM was reperfused by many collaterals from local pulmonary arteries. Via the Brockenbrough procedure, an 8F-long sheath was introduced from right atrium to left atrium. A 7F balloon catheter was then coaxially introduced into right middle pulmonary vein. Then a microcatheter was introduced retrogradely from pulmonary vein to pulmonary artery through the recurrent AVM. RESULTS:The venous sac and the distal arterial segment of the A4 AVM were successfully embolized with detachable coils. The A4 AVM was completely occluded. No adverse effects were observed, and dyspnea on exertion disappeared. CONCLUSION:This novel transcardiac retrograde transvenous embolization is useful for inadequately treated pulmonary AVM with proximal feeding artery occlusion.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Komiyama M,Ishiguro T,Umaba R,Suzuki Tdoi
10.1007/s00270-013-0755-3subject
Has Abstractpub_date
2014-06-01 00:00:00pages
791-4issue
3eissn
0174-1551issn
1432-086Xjournal_volume
37pub_type
杂志文章abstract::Subintimal angioplasty (SAP) is frequently performed for the treatment of critical limb ischemia (CLI) and has been recognized as an effective technique for these patients. Nevertheless, this approach is limited by the lack of controlled re-entry into the true lumen of the target vessel. We describe a novel device for...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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abstract::Hepatic intraarterial injection of Lipiodol has been used by various authors to enhance the diagnostic accuracy of computed tomography in hepatic tumors. The technique appears safe and seems free from serious complications when used judiciously. We report a case in which injection of hepatic intraarterial Lipiodol pre...
journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,多中心研究,随机对照试验
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doi:10.1007/BF02552864
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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